De Quervain's Tenosynovitis
A few months back I worked on a patient who had been diagnosed with De Quervain's tenosynovitis.
This is a condition in which the tendons around the base of the thumb and the lateral side of the wrist become inflamed and swollen. Ultimately this leads to pressure on surrounding nerves and may result in significant pain and numbness. It is typically tied to repetitive motion injuries.
Upon testing, we found that her abductor pollicis longus and extensor pollicis brevis were inhibited due to dysfunctional golgis around the extensor retinaculum. In addition to these golgis, we treated numerous nocioceptive patterns localized to the thumb as well as a crude touch dysfunction that spanned the length of the lateral forearm.
By the end of the session she reported a 70% reduction in pain and swelling was visibly decreased.
She was able to pass the Finkelstein test, pain free, just a few weeks later.
While structural problems don't ever improve overnight, eliminating any unnecessary 'neurological noise' can drastically speed up the healing process.
When presented with a long road to healing, don't just sit back and wait.
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